I

Website Version
, Prlce Rs. 15.00

WEST BENGAL COUNCIL OF HIGHER SECONDARY EDUCATION

Vidyasagar Bhavan 9/2, Block DJ, Sector-ll, Salt Lake, Kolkata - 700 091

Kolkata Bikash Bhavan, (North Bloct,2nd Floor).Kolkata17.00091 . .

North Bengal Rahul Sankrityayan Bhavan, PO. North Bengal University,

Dist. Darjeeling Pin - 734013
Bardhaman Nazrul Bhavan, 5, lchlabad (Jal Kal Math) PO. Srip6lly
Dist. Bardhaman, Pin - 713103
Medinipur Sahid MatanginiBhavan, Bidhan Nagar East,72, Station Road,
P.O. Medinipur, Dist. Paschim Medinlpur, Pln - 72110'l

RPPU(RTION FORM IS RNC€ OF MIGBRTION C(RTIFI

DUPUCRT€ MIGRRTION C(BTIFI(RT€.

1. Name ofthe University/Board the sludent desires loioin on Migration Mentioninglhe State

2. Name ofths student (Block letters)

(a)Fatheas / Mother'9 Guardian's Name

3. MailingAddress.....

Phone No ............ Mobile No ........

4 (a)RegisbalionNo.ofthisCouncilwiththeYearofRelistration(H.S.).....................................................

(b) Name ofth6 recognised instilution where from hiyhernameWas ieglslered .......

5. Name of the inslitution towhich the student was last aBadled (H.S.) .....

6. Year and Roll Numberof the applicanl last appeared atthe H.S. Examlnatlon offhe Councll

(whero applicable) .

7. The Bank Draft or Cash Memo bearing No . . ....... .. ....... date

of................ . bank isenclosed

N.B. : Migration Certificate can bo issued to Registered Candidates only.

8. I, Shri/Smt. ......

S/O/D/O. Shri/Smt
,
of ths above mentioned address state that the above statement are true and corect.

Dated
STGANATURS OF THE STUDENT IN FULL

Certificate lssueebythe Head ofthe Institutlon in *hich the studentwas laststudying

This is to certify that particulars including the ,egistration numbe( Examination, Roll Number, Year,
etc. as stated in this application form have been.verified by me from the registers and records of the
:nstitulion and found to be conect.

SIGNATURE OF THE HEAD

Dated
OF THE INSTTTUTION
Ddsignation wi$ o(fice seal

INSTRUCTIONS

A. Submission of fees :
ordlnary Fees :- Fees for Migration Certificate / Duplicate Migration Certificate to -Rs. 200/-
(b,vo hundred) is to be paid.

Tatkal Fees : (within two working days) for Migration Certificate / Duplicate migration
Certificate - Rs. 500! (Five Hundred).
Mode of Payments : Fees shall be deposited by cash / bank Dra-ft drewn in Favour of
"w.8. CounCit of H.S. Education' Payable at Koikata / sillgiirl / Biffiiii7Mdrtinipur
as the case may be.
B. Documents to be submitted along with form:An attested copy of the:-
(1) Registration Certificate of the Council(Original Registralion Certificale.is to be shown during
delivery of MC)
(2) AdmitCard of the H. S. Examination lastappeared.
(3) MarkSheetofthe H. S. Examination last appeared.
(4) ln the case ofa student notappeared at the H: S. Examination, an attested qopy of
Registration Certiticate alongwith atlested copy of the Transfer Certificate from the lnstitution
in which he/shewas last attached.

INFORMATION

1. ln thscaseofa studentwho has alreadyappeared atthe H. S. Examination underthis Council, the

Migmtion Certificate will be issued afterthe publicalon of the result of the saidExamination.

FOR DUPLICATE MIGRATION CERTIFICATE

For issuing duplicate Migration Certificate the student hasto submit a lstterissued by the Head ofths
lnstitution, where the student lasl studied or has been studying 1ry;g1 G.D. copy_

D.S/PT.G/ 3.04/1 3/201 9 Dt : 26/8/201 9/ 35000 copies